Browse > Article
http://dx.doi.org/10.12811/kshsm.2019.13.4.121

Prescription Characteristics of Antibiotics for Clinical Subjects of Acute Respiratory Infection Outpatients -Using National Health Insurance Big Data-  

Gong, Mi-Jin (Graduate School of Catholic University of Pusan)
Hwang, Byung-Deog (Department of Health Care Management Catholic University of Pusan)
Publication Information
The Korean Journal of Health Service Management / v.13, no.4, 2019 , pp. 121-132 More about this Journal
Abstract
Objectives: This study analyzed the prescription antibiotics characteristics of Acute respiratory infection outpatients. It provides a basis for establishing the correct evaluation project on appropriate prescribing indicators. Methods: The research data were collected from the National Health Insurance Corporation's 2014 sample cohort for Internal Medicine, Pediatrics, Otorhinolaryngology, Family Medicine and General practitioner clinics classification of diseases codes J00-J06, J20-J22, J40 outpatients. Results: The antibiotic prescription rate on the evaluation project for appropriate prescribing indicators of Health Insurance Review & Assessment Service was 43.54%, whereas in this study it was about 10% higher because the analysis targeted the entire acute respiratory infection diagnosis. Conclusions: There is a need to identify the correct antibiotic prescription by expanding the current assessment standard. Such standard must include acute lower respiratory infections and minor diagnosis because current evaluation projects on appropriate prescribing indicators targets only the major diagnosis of acute upper respiratory infection.
Keywords
Acute Respiratory Infection; Common Cold; Prescription rate of Antibiotic;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 J.A.I. Weigl, W. Puppe, C.U. Meyer, R. Berner(2007), Ten Years Experience with Year-Round Active Surveillance of Up to 19 Respiratory Pathogens in Children. Eur J Pediatr Vol.166(1);957-966.   DOI
2 J.A. Kim, J.H. Park, B.Y. Kim, D.S. Kim(2017), The Trend of Acute Respiratory Tract Infections and Antibiotic Prescription Rates in Outpatient Settings using Health Insurance Data, Korean J Clin Pham, Vol.27(3):186-194.   DOI
3 http://kosis.kr/statHtml/statHtml.do?orgId=350&tblId=DT_35001_A0790111&conn_path=I2
4 Y.J. Kim, S.H. Lee, S.V. Park, H.O. Na, B.H. Choi(2015), Outpatient Antibiotic Prescription Patterns for Respiratory Tract Infections of Infants, Health Policy and Management, Vol.25(4);323-332.   DOI
5 W.J. Choi, E.S. Yim, T.H. Kim, H.S. Suh, K.C. Choi, W.J. Chung(2015), Analysis of Factors Related to the Prescription of Antibiotics for the Acute Upper Respiratory Infection, Health Policy and Management, Vol.25(4);256-263.   DOI
6 M.J. Gong, B.D. Hwang(2017), Clinical Department Prescription Drugs Characteristics of Acute Upper Respiratory Tract Infection Disease, The Korean Journal of Health Service Management, Vol.11(3);37-49.   DOI
7 H.K. Kang(2012), Efforts to Improve Antibiotic Prescribing Trends for Acute Upper Respiratory Infections in a South Korean University Hospital, Korean J Clin Pham, Vol.22(1):47-54.
8 S.C. Kim, Y.C. Park, B.G. Kim, D.H. Nam(2010), Outpatient Antibiotic Prescription by Pediatric and ENT Physicians in Ulsan city, Korean J Clin Pham, Vol.20(2):145-150.
9 S.M. Chae, E.J. Park, S.V. Park(2013), Antibiotic Consumption and Expenditures for Acute Upper Respiratory Tract Infections in Outpatients, Yakhak Hoeji, Vol.57(3);199-204.
10 J.K. Hur(2010), Upper Respiratory Infections in Children, J Korean Med Assoc, Vol.53(1):5-9.   DOI
11 Health Insurance Review & Assessment Service(2019), Evaluation Project on Appropriate Prescribing Indicators Assessment Result Report 2019, HIRA Assessment 4, pp.1-79.
12 http://kosis.kr/statHtml/statHtml.do?orgId=350&tblId=DT_35001_A083112&conn_path=I2
13 KCDC(2008), Pewvalence of Respiratory Viruses in Acute Respiratory Infections in Korea, 2007, KCDC, pp.1-8.
14 NIH(2013), Acute Infectious Agents Laboratory Surveillance Report(ARI Net), KCDC, pp.1-10.
15 Health Insurance Review & Assessment Service(2011), Evaluation Project on Appropriate Prescribing Indicators Assessment Result Report(The second half year), HIRA Assessment 4, pp.1-66.
16 Health Insurance Review & Assessment Service(2014), Evaluation Project on Appropriate Prescribing Indicators Assessment Result Report(The first half year), HIRA Assessment 4, pp.1-54.
17 Health Insurance Review & Assessment Service(2014), Evaluation Project on Appropriate Prescribing Indicators Assessment Result Report(The second half year), HIRA Assessment 4, pp.1-70.
18 S.K. Kim, H.E. Kim, M.S. Back, S.H. Lee(2010), The Effect of Public Report on Antibiotics Prescribing Rate, Korea Journal of Clinical Pharmacy, Vol.20(3);242-247.
19 MOHW(2016), National Action Plan on Antimicrobial Resistance(2016-2020), Ministry of Health & Welfare, pp.1-36.